Restaurant Preorder Form
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Manager's Supreme
Mix of Fresh Vegetables
$
5.00
Size
Quantity
Prix
Small
1
2
3
4
5
6
7
8
9
10
$
5.00
Medium
1
2
3
4
5
6
7
8
9
10
$
10.00
Large
1
2
3
4
5
6
7
8
9
10
$
13.00
Family Size
1
2
3
4
5
6
7
8
9
10
$
15.00
Sous-total de l'article :
$
0.00
Pepperoni Pizza
Pepperoni, Tomato, Olive, Yellow Pepper, Pizza Sauce, Cheese
$
5.00
Size
Quantity
Prix
Small
1
2
3
4
5
6
7
8
9
10
$
5.00
Medium
1
2
3
4
5
6
7
8
9
10
$
10.00
Large
1
2
3
4
5
6
7
8
9
10
$
13.00
Family Size
1
2
3
4
5
6
7
8
9
10
$
15.00
Sous-total de l'article :
$
0.00
Cheezy Garlic
Garlic, Cheese, Mozzarella, Bay Leaf
$
4.00
Size
Quantity
Prix
Small
1
2
3
4
5
6
7
8
9
10
$
4.00
Medium
1
2
3
4
5
6
7
8
9
10
$
7.00
Large
1
2
3
4
5
6
7
8
9
10
$
10.00
Family Size
1
2
3
4
5
6
7
8
9
10
$
13.00
Sous-total de l'article :
$
0.00
Chili Cheese Belgian
Chili Sauce, Cheddar Cheese, Tomato
$
7.00
Size
Quantity
Prix
Medium
1
2
3
4
5
6
7
8
9
10
$
7.00
Family Size
1
2
3
4
5
6
7
8
9
10
$
13.00
Sous-total de l'article :
$
0.00
When do you want your orders to be ready?
/
Day
/
Month
Year
Date
Hour Minutes
Type of order
Takeout
Dine in
Name
First Name
Last Name
Phone Number
Email
example@example.com
Payment Methods
Carte de débit ou de crédit
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
Veuillez cliquer sur l'une des options PayPal pour effectuer le paiement et
soumettre
le formulaire.
Preorder
Should be Empty: